Organization
MINNESOTA INDIAN WOMEN'S RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONI BUFFALOHEAD PH.D. (DIRECTOR OF OPERATIONS)
(612) 724-2124
Entity
Organization
Contact information
Practice address
2300 15TH AVE S, MINNEAPOLIS, MN 55404-3960
(612) 724-2124
(612) 728-2039
Mailing address
2300 15TH AVENUE SOUTH, MINNEAPOLIS, MN 55404
(612) 724-2124
(612) 728-2039
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
8015573CDT
MN
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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